Organization Active NPI

Duke Medical Supply Incorporated

  • Customized Equipment (DME)
  • Skokie, IL
National Provider Identifier
1053565457
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DUKE MEDICAL SUPPLY INCORPORATED
Practice address
4917 Oakton St
Skokie, IL 60077-2903
Phone
(847) 568-1060
Fax
(847) 568-1070
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kira Dukach
Title
President
Phone
(224) 522-0323

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary
Nursing Facility Supplies (DME) 332BN1400X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

4917 Oakton St
Skokie, IL 60077-2903

Mailing address

4917 Oakton St
Skokie, IL 60077-2903
Phone (847) 568-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930008036 IL DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 4082814363 Practice locations: Skokie, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Duke Medical Supply Inc4917 Oakton St, Skokie, IL 60077-2903(847) 568-1060 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/o… Accepts assignmentParticipating since Sep 8, 2009

National Provider Directory

National Provider Directory

Locations

4917 Oakton St
Skokie, IL 60077
Phone (847) 568-1060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1053565457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772903",
            "telephone_number": "847-568-1060",
            "fax_number": "847-568-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772903",
            "telephone_number": "847-568-1060",
            "fax_number": "847-568-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE MEDICAL SUPPLY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "DUKACH",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-522-0323"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.